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Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning

International Journal of Environmental Research and Public Health, ISSN: 1660-4601, Vol: 19, Issue: 8
2022
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Article Description

Aortic stenosis is the most common primary valve lesion requiring surgery or, especially for older patients, transcatheter intervention (TAVI). We showcase a successful transfemoral TAVI procedure in a very high-risk patient and an extremely tortuous S-shaped descending aorta, characterized by heavy calcifications and multiple strong resistance points. We demonstrated that transfemoral TAVI using the “buddy stiff guidewire” technique could be a feasible, simple, quick, and easy procedure able to straighten an extremely abdominal aorta tortuosity. With all techniques available and careful pre-procedural planning, and thanks to the flexibility of new generation TAVI delivery systems, it is possible to safely perform the procedure even in the most challenging patients.

Bibliographic Details

Intorcia, Alfredo; Ambrosini, Vittorio; Capasso, Michele; Granata, Riccardo; Magliulo, Fabio; Carbone, Giannignazio Luigi; Capobianco, Stefano; Rotondi, Francesco; Lanni, Francesca; Manganelli, Fiore; Di Lorenzo, Emilio

MDPI AG

Environmental Science; Medicine

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